Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-010613 | Outreach address corrected Outreach | William Freeman: 765 Highland Ave Apt 26, Plano → 765 Highland Ave, Plano |
| Proposed | — | ||
| ACT-010614 | Outreach address corrected Outreach | Ralph Knight: 9517 Maple Ave # 957, Denver → 5725 Pine Dr, San Diego |
| Proposed | — | ||
| ACT-010615 | Outreach address corrected Outreach | Austin Walsh: 8506 Bayshore Dr, Charlotte → 8506 Bayshore Dr Apt 16, Charlotte |
| Proposed | — | ||
| ACT-010616 | Outreach address corrected Outreach | Matthew Day: 6402 Pine Dr, Charlotte → 6402 Pine Dr # 652, Charlotte |
| Proposed | — | ||
| ACT-010617 | Outreach address corrected Outreach | Frank Franklin: 7574 Broadway # 630, Phoenix → 7574 Broadway, Phoenix |
| Proposed | — | ||
| ACT-010618 | Outreach address corrected Outreach | Abigail Price: 2865 Baseline Rd, Sacramento → 2730 Desert Sky Blvd, Tempe |
| Proposed | — | ||
| ACT-010619 | Outreach address corrected Outreach | Megan Bradley: 251 Grand Ave # 384, Fresno → 251 Grand Ave, Fresno |
| Proposed | — | ||
| ACT-010620 | Outreach address corrected Outreach | Virginia Guerrero: 4065 Oak St, Miami → 7836 Ocean Ave, Miami |
| Proposed | — | ||
| ACT-010621 | Outreach address corrected Outreach | David Woods: 9773 Washington St, San Antonio → 9773 Washington St Apt 24, San Antonio |
| Proposed | — | ||
| ACT-010622 | Outreach address corrected Outreach | Gloria Ross: 4616 Forest Ave # 308, Minneapolis → 4616 Forest Ave, Minneapolis |
| Proposed | — | ||
| ACT-010623 | Outreach address corrected Outreach | Dennis Vargas: 5789 Elm St, Gilbert → 5789 Elm St # 203, Gilbert |
| Proposed | — | ||
| ACT-010624 | Outreach address corrected Outreach | Theresa Campbell: 7253 Ocean Ave, Seattle → 7253 Ocean Ave # 451, Seattle |
| Proposed | — | ||
| ACT-010625 | Outreach address corrected Outreach | Debra Sullivan: 9094 Union St, San Diego → 9094 Union St # 225, San Diego |
| Proposed | — | ||
| ACT-010626 | Outreach address corrected Outreach | Michelle Tucker: 5313 Broadway # 171, Gilbert → 5313 Broadway, Gilbert |
| Proposed | — | ||
| ACT-010627 | Outreach address corrected Outreach | Grace Valdez: 2005 Elm St, Jacksonville → 2005 Elm St # 888, Jacksonville |
| Proposed | — | ||
| ACT-010628 | Outreach address corrected Outreach | Eric Bell: 7210 Mountain View Dr, Miami → 7210 Mountain View Dr Apt 39, Miami |
| Proposed | — | ||
| ACT-010629 | Outreach address corrected Outreach | Ashley Reid: 7945 Central Ave Apt 9, Dallas → 7945 Central Ave, Dallas |
| Proposed | — | ||
| ACT-010630 | Outreach address corrected Outreach | Julia Morales: 2365 Oak St Apt 2, Plano → 2365 Oak St, Plano |
| Proposed | — | ||
| ACT-010631 | Outreach address corrected Outreach | Camila Daniels: 2438 Sage Ct, Phoenix → 2438 Sage Ct Apt 34, Phoenix |
| Proposed | — | ||
| ACT-010632 | Outreach address corrected Outreach | Nancy Gray: 3007 Baseline Rd, Scottsdale → 5749 Ridge Rd, Mesa |
| Proposed | — | ||
| ACT-010633 | Outreach address corrected Outreach | Nathan Palmer: 7701 Ocean Ave, Tampa → 7701 Ocean Ave Apt 18, Tampa |
| Proposed | — | ||
| ACT-010634 | Outreach address corrected Outreach | Rebecca Palmer: 5599 Market St # 674, Las Vegas → 5599 Market St, Las Vegas |
| Proposed | — | ||
| ACT-010635 | Outreach address corrected Outreach | Sean Crawford: 3979 River Rd, Charlotte → 2140 Maple Ave, Las Vegas |
| Proposed | — | ||
| ACT-010636 | Outreach address corrected Outreach | Peter Gilbert: 4458 Canyon Rd, Tucson → 4458 Canyon Rd Apt 33, Tucson |
| Proposed | — | ||
| ACT-010637 | Outreach address corrected Outreach | Gabriel Robertson: 5918 Mountain View Dr Apt 32, Glendale → 5918 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-010638 | Outreach address corrected Outreach | Mateo Miller: 1423 Spring St, Nashville → 1423 Spring St Apt 40, Nashville |
| Proposed | — | ||
| ACT-010639 | Outreach address corrected Outreach | Melissa McDonald: 4944 Pine Dr, Los Angeles → 8927 Washington St, Charlotte |
| Proposed | — | ||
| ACT-010640 | Outreach address corrected Outreach | Aaron Munoz: 4673 Palm Dr # 119, Glendale → 4673 Palm Dr, Glendale |
| Proposed | — | ||
| ACT-010641 | Outreach address corrected Outreach | Nicole Richardson: 2529 Canyon Rd Apt 30, Houston → 2529 Canyon Rd, Houston |
| Proposed | — | ||
| ACT-010642 | Outreach address corrected Outreach | Wei Mejia: 5907 Canyon Rd, Eden Prairie → 7400 Apache Blvd, Los Angeles |
| Proposed | — | ||
| ACT-010643 | Outreach address corrected Outreach | Amy Torres: 5717 Desert Sky Blvd, San Antonio → 206 Lincoln Way, Tampa |
| Proposed | — | ||
| ACT-010644 | Outreach address corrected Outreach | Betty Cooper: 2201 Broadway, Miami → 2201 Broadway Apt 29, Miami |
| Proposed | — | ||
| ACT-010645 | Outreach address corrected Outreach | Jacob Jenkins: 3294 Union St Apt 12, Glendale → 3294 Union St # 479, Glendale |
| Proposed | — | ||
| ACT-010646 | Outreach address corrected Outreach | Arjun Wright: 8140 Washington St # 371, Charlotte → 8140 Washington St, Charlotte |
| Proposed | — | ||
| ACT-010647 | Outreach address corrected Outreach | Logan Bailey: 2684 Grand Ave, Jacksonville → 4259 Indian School Rd, Minneapolis |
| Proposed | — | ||
| ACT-010648 | Outreach address corrected Outreach | Elizabeth Santiago: 1713 Ridge Rd Apt 35, Mesa → 1713 Ridge Rd, Mesa |
| Proposed | — | ||
| ACT-010649 | Outreach address corrected Outreach | Diane Maldonado: 3768 Cedar Ln, Gilbert → 8807 Broadway, Minneapolis |
| Proposed | — | ||
| ACT-010650 | Outreach address corrected Outreach | Lucia Vega: 5744 Spring St # 598, Las Vegas → 5744 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-010651 | Outreach address corrected Outreach | Robert Palmer: 9175 Maple Ave Apt 4, Orlando → 7598 Meadow Ln, Seattle |
| Proposed | — | ||
| ACT-010652 | Outreach address corrected Outreach | Cynthia Allen: 9695 Sunset Blvd # 892, Eden Prairie → 9695 Sunset Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-010653 | Outreach address corrected Outreach | Dorothy Vega: 1660 Ridge Rd # 263, Atlanta → 1660 Ridge Rd, Atlanta |
| Proposed | — | ||
| ACT-010654 | Outreach address corrected Outreach | Ana Rose: 21 Cedar Ln, Columbus → 21 Cedar Ln # 835, Columbus |
| Proposed | — | ||
| ACT-010655 | Outreach address corrected Outreach | Mariana Green: 9052 Grand Ave Apt 1, Denver → 9052 Grand Ave, Denver |
| Proposed | — | ||
| ACT-010656 | Outreach address corrected Outreach | Wayne Garza: 7840 Forest Ave # 508, Jacksonville → 7840 Forest Ave, Jacksonville |
| Proposed | — | ||
| ACT-010657 | Outreach address corrected Outreach | Camila Snyder: 5462 Union St, Austin → 8445 Lake View Rd, Minneapolis |
| Proposed | — | ||
| ACT-010658 | Outreach address corrected Outreach | Marcus Carlson: 4973 Spring St # 808, Orlando → 4973 Spring St, Orlando |
| Proposed | — | ||
| ACT-010659 | Outreach address corrected Outreach | Charles Watson: 2196 Spring St Apt 37, Tempe → 2196 Spring St # 310, Tempe |
| Proposed | — | ||
| ACT-010660 | Outreach address corrected Outreach | Carol Gonzalez: 6918 Desert Sky Blvd, Minneapolis → 6918 Desert Sky Blvd # 784, Minneapolis |
| Proposed | — | ||
| ACT-010661 | Outreach address corrected Outreach | Patrick Gilbert: 1600 Broadway, Phoenix → 9878 Indian School Rd Apt 12, Atlanta |
| Proposed | — | ||
| ACT-010662 | Outreach address corrected Outreach | Gerald Cunningham: 7237 Camelback Rd Apt 27, Nashville → 7237 Camelback Rd, Nashville |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.